APRN NP

Write a 3- to 5-page paper about how your state's practice act encourages or discourages quality and effective patient care for a patient with comorbid conditions.

Consider this case:

A 35-year-old African-American male reports trouble with sleep for over 3 months. He has trouble both falling and staying asleep. He has increased his drinking habits at night to try and increase his sleepiness before bed. He states he is drinking 1–2 beers every night before bed. He also states he has a history of depression that was successfully treated with Prozac for 4 years. He has not been on medication for the last 24 months and states that his depression has been somewhere from a 1–2 on a 0–10 scale with 10 being the worst. He denies SI/HI, and A/VH. However, he does state an increase in anxiety when he does not sleep. He states he feels fidgety and out of it during the day. His vitals for today’s visit are:

· 9

· HR72

· 1BP47/82

· R20

· Wt192

· Ht5’9”

· BMI: 28

Your paper should include:

· Title page (APA)

· Introduction to your state’s NP practice:California

· Discussion of how the NP practice laws in your state affect patient care

· Specific case and how it is affected by your state’s practice act

· Conclusion

Include at least three scholarly articles, in addition to your textbooks.

Paper must be in APA format including, reference page, cover page, in-text citations, and overall paper format.

Journal #4

For each assessment tool you select, you will identify an instrument and do the following:

· Identify a scholarly, peer-reviewed article that addresses the use of the instrument.

· Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.

· Describe whether the instrument can be used to measure patient response to therapy/treatment.

· Discuss the psychometrics/scoring of the instrument, including reliability and validity.

· Discuss any limitations associated with the use of the instrument.

Instruments/Tools for diagnosis of (one instrument/tool for each diagnosis):

· Autism

· Specific Learning Disabilities

Use the  Journal Template Assessment Tool  to complete the journal assignment. Your information can be in bulleted format or just a couple sentences for each criterion listed. However, you must use APA citations and references at the end. You are NOT required to write this in a paper format. Turn in one document for each of this week’s topics.

Template

Anxiety and Related Disorders

Week X

DSM:

Instrument:

Article:

Appropriateness for Dx:

Response to Therapy/Treatment:

Psychometrics:

Limitations:

Journal Discussion from instructions:

References

Journal #6 same template as above

Instrument/Tool criteria:

For each assessment tool you select, you will identify an instrument and do the following:

· Identify a scholarly, peer-reviewed article that addresses the use of the instrument.

· Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.

· Describe whether the instrument can be used to measure patient response to therapy/treatment.

· Discuss the psychometrics/scoring of the instrument, including reliability and validity.

· Discuss any limitations associated with the use of the instrument.

Instruments/Tools for diagnosis of (one instrument/tool for each diagnosis):

· Anxiety in children and adolescents

· OCD in children and adolescents

Use the Journal Template Assessment Tool Template to complete the journal assignment. Your information can be in bulleted format or just a couple sentences for each criterion listed. However, you must use APA citations and references at the end. You are NOT required to write this in a paper format. Turn in one document for each of this week’s topics.

ALL criteria must be present to receive cred